NYC 9/11 Public Portal Document
ENVIRONMENTAL SERVICES SAMPLE SubR^lMiON F^^M r2
O&biifister-'’'
WESTCHESTER COUNTY LABORATORIES ANO RESEARCH
2 Dana Road, Valhalla. New York 10595
8? (914) 231-1620 Fax (914) 231-1772
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li.Potable I 2- 3-Non Potable Treated Bottle#’8:______ „.,L.fe >¥.L
•^Oon Potable 4. Other- Chain of Custody? ___ Yes___ No
Hime/Date Collected:
j, ’pXleGted By:
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3^Comments;
■ Ager^'Code: PWS #:_________ ^utcelb:^ .TypeDescriptor:J
^CollectedFrom: ■ 41'L"''ZY; Blll'^
P Locafloh's/lndividual's Name r R Name/Company
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-CIty/Srap
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- City/St/Zlp’____
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iderttiflcaaon of Source' \ . djili / Phone#: ..zzXXlIIIIIIIlXX ’^d^
te f. Collection Point —- ....... ■ , t f ................ .. ■. .
IM BACtERlOLOGICAL ANALYSIS Lab#: ■ ' \ '
O: “ -J ‘Y; ’ ;; Y>
ORGANIC POTABLEANALW ' ORGANIC NONPOTABLEZ8OUO analysis
I MI. Heterotrophic Plate Count __ Trihalomethanes (524) , ? -x Purgeable Halocarbbns/(624/8260)
fc . (hemodialysis & all others)
V 12 Coliform P/A (Public supplies) _ Volatile Halocarbons (524) ; _ Purgeab!e Aromatlcs (624/8280) >
Coliform MPN; (priv well, raw, stp) _ Volatile Aromatics (524) ’ ■' Ad0leb^’Adyiqr^"(^MKi/X<’I2Y ■
_£ Fecal Coliform (all samples) __ Total Trihalomethane Potential (510) _Organ6chlOr1nePesticid8S(608/8081)
„Mlcroscopic __ Microextractables (504) IIX'PC^<AO«?I);W8081)^ ■
Macroscopic _ Pesticides/PCB screen (508) _ Herbicides (SM18/6630.8161)
_ PCB as Decachlorobiphenyl (508A)
_ Herbicides (515)
« ZZ Other _ _____________ _ Pesticides (525) __ Glycols in Water \
Refrigerated? _ yes no _ Carbamate Pesflddes (531) _AcldExtractabl88 (625/8270)
^)o^:? __yes no __ Glyphosate (547) « X Base Neutral Extractebles (625/8270) £: ■
_Diquat (549) I^^C/MSUnknownScan
B
free Chlorine Res:___
tptalChlorine Res:-----
_mg/L
mg/L
_ Chlorination Disinfection Byproducts (551)
_Hateac^c Acids (552) ;'; XlOWX^XXX
_ Other Pesticides (SM18/6630) IX ._ ■ jVi
_UCMRLIst1 i'X'' ■'
ifW^CHEMICAL ANALYSIS _MtBE Only (524)
.. , ..........
8>^
_Potasslum
— Antimony; _Sel8ni'um
I
f Brorrilde;-, ^i_'Arsenlc;.i;.
. ' __ Bromate/Chiorate/Chlorlte ; _Barium";,
X.CorWty (temp:-------- ’O ^CHiodde';I , 1., Beryllium I >, HI','!
i;.’
_j BOD (S day) _ Cyanide ; __ Boron __Vanad(um
_ Carbonawus BOD (5 day) __ -Fluoride
. . _Cadmium •^anc-
' _Hardness.Totala8 .QaCOs - -'■. ‘
w •i^SSaSS^^SL;-
* Zz'iOrwracai Oxygen Demand
^Dissolved Oxygen
' Nitrogen, 'Ammoniaas N -; i_cWclulivC8*«
_ Ntttbgen, Nitrate as N _Chromtum, Total . I
1?
_Metais/CN
vM.;
Total Organic Carbon , 2_:N^dS^ Ni^Ss N\ A - __Chrom(urn,Hexavalent
XW<^ahicNatidMl' /I •■^SafhHWIe8->/V'-"
as N _ Pestlddes/PCB’s .
- X|O’P^ht j(%)M
_Solid8, Suspended '
■ zSST iSlLE "
_ Solids,- Total ;;:^TCiLP^etate,/.zMM,
lY 1. Solids, Total dissolved
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NYC-WTC_000074833
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